Sun Devil 92
Diamond Member
- Apr 2, 2015
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- #261
Some of it sure, but it's all been accelerated and institutionalized in large part due to the ACA. The old fee-for-service world has started to melt away because of the ACA. We're now firmly moving into a world of value-based purchasing, risk-based contracting, and accountable care. That's a big deal and it's a big shift.
I'll address the graph in a moment.
Value based purchasing...by who ?
I don't buy anything.
I get health insurance.
My company's plan has not changed nor have they asked me to do anything different in the last 10 years.
The only change has been that they now offer a high deductible plan coupled with an HSA.
Obamacare is throttling the FSA's though.
Your sentences read like greek.
Risk based contracting...by who ?
This sounds like B to B language. What does that mean to a consumer ?
You've referenced "accountable care" prior and given repeat admittance as a metric. Fine. My wife, a nurse (who has chosen to take some time off), has indicated that hospitals play all kinds of games with defnitions so as to classify patients according to whatever works to their interests. While I am not saying "accountable care" is a bad thing.....I am saying don't kid yourself.
But first, it would be great to be able to go to a place and understand what this means.